<div id="contacts">
    <div class="dropshadow modal"  style="z-index:108;top:225px">
        <div class="contact-box">        
            <table width="100%">
                <tr>
                    <td colspan="2" align="center"><h2>Contact Gatic <span style="float: right;"><a href="javascript: void 0" unload_modal="contacts">X</a></span></h2></td>
                </tr>
                <tr>
                    <td valign="top" class="label">Gatic</td>
                    <td>
                        Hammond House<br />
                        Holmstone Road<br />
                        Dover<br />
                        Kent<br />
                        England<br />
                        CT17 0UF
                    </td>
                </tr>
                <tr>
                    <td class="label">Tel:</td>
                    <td>+44 (0) 1304 203545</td>
                </tr>
                <tr>
                    <td class="label">Fax:</td>
                    <td>+44 (0) 1304 215001</td>
                </tr>
                <tr>
                    <td class="label">Email:</td>
                    <td>sales@gatic.co.uk</td>
                </tr>
                <tr>
                    <td class="label">Website:</td>
                    <td>www.gatic.com</td>
                </tr>
                <tr>
                    <td colspan="2" align="center">&nbsp;</td>
                </tr>
                <tr>
                    <td colspan="2" align="center"><h2>Request Brochure</h2></td>
                </tr>
                <tr>
                    <td class="label">Name</td>
                    <td><input type="text" name="name" /></td>
                </tr>            
                <tr>
                    <td class="label">Email</td>
                    <td><input type="text" name="name" /></td>
                </tr>            
                <tr>
                    <td class="label">Telephone</td>
                    <td><input type="text" name="name" /></td>
                </tr>            
                <tr>
                    <td class="label">Company</td>
                    <td><input type="text" name="name" /></td>
                </tr>            
                <tr>
                    <td class="label">Business Type</td>
                    <td><input type="text" name="name" /></td>
                </tr>            
                <tr>
                    <td class="label">Job Title</td>
                    <td><input type="text" name="name" /></td>
                </tr>            
                <tr>
                    <td class="label">Address</td>
                    <td><textarea></textarea></td>
                </tr>            
                <tr>
                    <td class="label">Postcode</td>
                    <td><input type="text" name="name" /></td>
                </tr>            
                <tr>
                    <td class="label">Project Name</td>
                    <td><textarea rows="1"></textarea></td>
                </tr>            
                <tr>
                    <td class="label">Other Information</td>
                    <td><textarea rows="1"></textarea></td>
                </tr>
                <tr>
                    <td colspan="2" align="center">&nbsp;</td>
                </tr>
                <tr>
                    <td colspan="2" align="center"><input type="submit" value="Submit" /></td>                    
                </tr>             
            </table>
        </div> 
    </div>
</div>